Organization
CHRISTINE MARIE JOHNSTON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MARIE JOHNSTON MD (PRESIDENT)
(805) 524-2000
Entity
Organization
Contact information
Practice address
552 SESPE AVE STE C, FILLMORE, CA 93015-1954
(805) 524-2000
(805) 524-9601
Mailing address
PO BOX 327, FILLMORE, CA 93016-0327
(805) 524-2000
(805) 524-9601
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
G77456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM08907F
—
CA
Enumeration date
07/08/2006
Last updated
08/22/2020
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